Individual provider Active NPI

Katy Lebbing, B.S., I.B.C.L.C.

  • Lactation Consultant (Non-RN)
  • Villa Park, IL
National Provider Identifier
1700095205
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
519 Calduto Cir
Villa Park, IL 60181-3484
Phone
(630) 833-1248
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 197-14079 VA
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

519 Calduto Cir
Villa Park, IL 60181-3484

Mailing address

519 Calduto Cir
Villa Park, IL 60181-3484
Phone (630) 833-1248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
197-14079VAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1700095205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CALDUTO CIR",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813484",
            "telephone_number": "630-833-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CALDUTO CIR",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601813484",
            "telephone_number": "630-833-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBBING",
        "first_name": "KATY",
        "name_prefix": "Ms.",
        "credential": "B.S., I.B.C.L.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "197-14079",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.